institution
Plastic Surgery & Weight Loss Cntr
Medical Specialty Clinic/Center in Hollister, Missouri
NPI 1699961193

Plastic Surgery & Weight Loss Cntr is a Medical Specialty Clinic/Center based in Springfield, MO and is specialized in Medical Specialty. Plastic Surgery & Weight Loss Cntr practices in Hollister, MO. The NPI Number for Plastic Surgery & Weight Loss Cntr is 1699961193 and holds a License No. 101644 (Missouri).

The current practice location address for Plastic Surgery & Weight Loss Cntr is 10994 Historic Highway 165 Ste D, Hollister, MO and can be reached out via phone at 417-239-0079 and via fax at 417-239-1228.

Location: 10994 Historic Highway 165 Ste D, Hollister, MO, 65801-8781
institution
Provider Profile Details
NPI Number
1699961193
Provider Name
Plastic Surgery & Weight Loss Cntr
Credential
Provider Entity Type
Organization
Address
10994 Historic Highway 165 Ste D, Hollister, MO, 65801-8781
Phone Number
417-239-0079
Fax Number
417-239-1228
Provider Enumeration Date
09/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD0320 01 MO RAILROAD MEDICARE
244744504 05 MO
10014M 01 MO BLUE SHIELD NON-PART
21186039 01 MO BLUE SHIELD OF KC
institution
Provider Business Practice Location Address Details
Address
10994 Historic Highway 165 Ste D
City
State
Zip
65672-5606
Phone Number
417-239-0079
Fax Number
417-239-1228
person
Provider Business Mailing Address Details
Address
10994 Historic Highway 165 Ste D
City
State
Zip
65672-5606
Phone Number
417-239-0079
Fax Number
417-239-1228
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
101644 (Missouri)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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